Healthcare Provider Details

I. General information

NPI: 1831056563
Provider Name (Legal Business Name): ROBYN EVERHART
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 S FRONT ST STE 4
FREMONT OH
43420-3086
US

IV. Provider business mailing address

310 S FRONT ST STE 4
FREMONT OH
43420-3086
US

V. Phone/Fax

Practice location:
  • Phone: 419-552-1254
  • Fax: 567-201-2156
Mailing address:
  • Phone: 419-552-1254
  • Fax: 567-201-2156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: